NPI | 1871011239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30544) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TC0700X Psychologist Clinical (Licence: CA PSY30544) | |
Enumeration Date | 2017-09-06 |
Last Update Date | 2022-11-01 |